hi there. ok, so I am no expert so please take what I say with a grain of salt. But from my understanding, even if your sperm count is very high (204Million I'm assuming), the motility seems low. What does motility 2 mean on your chart? What is the range? Usually motility above 40% is considered normal, I think in your analysis that number corresponds to your 30% viable. So you seem to be a little low. Then forward progression is quite low at 1 . That usually means, depending on their scale (usually it's 1 to 4) that the sperms are either just twitching, or have very sluggish forward progression.
Have you discussed your results with a doctor yet? I would highly recommend you see a male fertility specialist, ie. an Urologist. They are the ones who can best advise you on a treatment, if treatment is needed (or possible).
That all said, I also understand that sperm quality and production can vary a lot from month to month, day to day.... and that what you did 3 months ago would affect your sperm today (as it takes that long to produce them). Things that could negatively affect your sperm range from being exposed to hot tub/sauna, very hot baths or showers, having had some health issue (even minor, like the flu, and especially anything that could have raised your body temperature), all the way to biking, wearing certain underwear, or taking certain drugs/medications. So maybe this analysis is atypical, and I'm guessing they will likely ask you many questions to determine if any of the above could have been a factor in your below average results, and possibly have you get another SA before deciding on what to do.
Hi BLDavis, I'm so sorry to hear that, you too, were rendered sterile because of incompetent advice from an actual doctor.
Well, I have good news for you. My husband actually went back to a 'normal' sperm count (yet likely low for him) in about 3 months on Clomid. I am unsure about the injections your husband will be administered, and why they need to wait - but my husband was put on half a Clomid pill a day right away and in 3 months, the count was considered normal. There are still some issues with the motility, but that has been improving consistently too. He was at about 10% I think, and gradually increased to 40% at his last exam, considered normal. Within the motility qualifier, he went from 1 (on a scale of 1-4, 1 being still/no-forward movement and 4 being good progressive movement) to about 3 now. So we are hopeful that in a few months, that too will go back to a level 4, which is the norm, and that the 40% number will go up as well.
I am hopeful that your husband, given his normal testosterone level pre-T-therapy, will also quickly recover enough to allow you guys to start trying, or to allow for IUI, which is what we have done. Unfortunately, our IUI last month was not successful - I believe that even though my husband's numbers are mostly normal, it's not all there yet.... We are hoping we will get luckier this month. Given that you already had a child, I am certain that your husband was fine before, and confident that he will be so again soon. Ask your RE about Clomid, it seems like a 'lighter', less invasive technique to achieve the same results. Maybe the injections will provide faster results, although I find that hard to believe given that a sperm production cycle takes about 3 months, so I wouldn't expect major improvements until then.
Also - word of advice: we went back to the general doctor who prescribed the unnecessary, and 'castrating' hormonal therapy to my husand, and demanded that he pay for the fertility treatment, including all RE visits, urologist visits, and medication, all the way to the actual IUI. He immeadiately said he would take care of it, and he has put in a claim with his mal-practice insurance to cover our bills. We requested, and hope and believe, that he informed all his other patients on T-therapy of the fertility side effect issue. He was not a bad guy, and we actually felt bad for him as he truly didn't know. But that doesn't excuse the fact that he should have known, or researched it, before prescribing this treatment to anyone. Our urologist said about 1/3 to more of his patients are in the same situation as our husbands', and he's been trying to spread the word in the medical community.
I wish you luck, and I am confident you will be fine. I'm just sorry you had to lose all this time, but thankfully you guys are not as old as we are, so you have time on your side View Thread
Hi Amy, Thank you, I'd been meaning to reply to your post for a while. I was pleased to read what you wrote, which confirmed what I'd found through the research I'd done online. Of course, timing for us was terrible, since I already waited very long before deciding to get pregnant, and this incident caused a 6-months delay before we even diagnosed the issue.
The doctor who prescribed the T-therapy was NOT an urologist, NOR did he know the potential - actually, pretty much GUARANTEED decrease in sperm production, and consequential effects on fertility. He was in shock to find out.
We have been seeing an urologist, one of the best here, and he has put my husband on half a Clomid a day since about mid June. After a very slight increase (still way below the norm) in sperm count, he finally reached normal levels around mid-September, although the motility was still not stellar, but also on the way up. This was thanks to the 'little help' from Clomid, which the urologist wants him to continue to take until we manage to get pregnant, as he fears that without the stimulation, the production could drop drastically until it finds it's normal level again naturally.
We tried a round of IUI last month unsuccessfully, but are still hopeful it may work for us, as his sperm has been improving consistently.
Thanks again for your support on here, it helps to be able to talk to someone who's knowledgeable on the subject (before one has a chance to go to a specialist, which sometimes takes weeks to arrange) as opposed to simply trying to figure it out online.View Thread
My husband started testosterone injections (TESTOSTERONE CYP 200, 10ml vial) 2 years ago, prescribed by a doctor. This was prescribed for Hypogomodism, EVEN THOUGH HIS TESTOSTERONE LEVELS WERE WITHIN THE NORMAL RANGE FOR HIS AGE (mid 30s), and for men in general. He was on it for about 1 year, then stopped for 4 months, then went back for 4 months, took a 2.5months break and has been back on it uninterrupted for 4 months now.
He was injecting in a cycle of every 2 weeks, and a dosage that would start at "200" (I'm guessing it's 0.2ml since the vial contains 10 and one vial lasts for about 6months) for 3 cycles, then 300 for 3 cycles, then 400 for 3 cycles, and then would go back down to 300, then 200, then back up again and so forth.
We have recently started trying to conceive, and after 2 months of unsuccessful attempts, I suggested he had his sperm analyzed. We were in shock to find out last week that his sperm volume was below the norm but, most importantly, his sperm count was less than 1million/ml with a note from the analyst stating 1-2 sperms/HPF (what does that mean?), and the motility is only 10%, and progression is 1 to 1+ (meaning between no progression to sluggish).
After panicking and crying and all the reactions in between, I researched online and found that Testosterone therapy could completely destroy a man's sperm count. Of course, the doctor who prescribed the treatment never mentioned this to us.
Does anyone know if there's a chance to fully recover normal sperm production after going off such treatment? If so, what is the minimum time period and maximum time period when this might happen? I understand there is no uniform answer to this question, but statistically speaking, how long does it take to get back to a normal sperm count and motility?
Also, what are the remedies available to accelerate the production of sperm, both with natural herbs/medicine or with synthetic drugs?